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a. Mitriptyline โ ANS which of the following meds can contribute to the development of acute urinary retention in an older man with BPH? a. amitriptyline b. loratadine c. enalapril d. lorazepam a. anorectal carcinoma โ ANS sequelae of genital human papilomavirus infection in a man can include: a. anorectal carcinoma b. low sperm count c. paraphimosis d. Reiter syndrome a. boggy โ ANS during acute bacterial prostatitis, the digital rectal exam usually reveals a gland described as: a. boggy b. smooth c. irregular d. cystic a. cefixime โ ANS which of the following is recommended by the CDC as single dose txment for uncomplicated urethritis caused by N. gonorrhoeae when an oral product is the most appropriate option? a. cefixime b. metronidazole c. azithromycin d. amoxicillin
a. ceftriaxone 250mg IM as a single dose plus a single dose of azithromycin 1g PO โ ANS the preferred txment for uncomplicated gonococcal proctitis is: a. ceftriaxone 250mg IM as a single dose plus a single dose of azithromycin 1g PO b. oral erythromycin 500mg bid for 7 days c. oral norfloxacin 400mg bid with metronidazole 500mg bid for 3 days d. azithromycin 1g po as a single dose plus single dose of injectable doxycyline 100mg a. concomitant infection with herpes simplex is often found โ ANS when ordering lab tests to confirm chancroid, the NP considers that: a. concomitant infection with herpes simplex is often found b. a disease-specific serum test is available c. a WBC count with diff is indicated d. dark-field exam is needed a. doxycycline - ANStxment options for lymphogranuloma venereum include: a. doxycycline b. penicillin c. ceftriaxone d. dapsone a. doxycycline with ceftriaxone โ ANS which of the following is a reasonable txment option for a 30 y/o with acute epididymitis who presents without GI upset and will be txed as an outpatient? a. doxycycline with ceftriaxone b. amoxicillin with clavulanate c. metronidazole with linezolid d. clindamycin with cefixime a. dysuria - yes โ ANS indicate whether each finding normally would be present in gonorrheal urethritis in an otherwise well 28 y/o (yes or no)
a. gram-negative rods โ ANS the most common causative organisms in chronic bacterial prostatitis include: a. gram-negative rods b. gram-positive cocci c. gram-negative cocci d. gram-positive coccobacilli a. irritative voiding sxs - yes โ ANS indicate whether each finding would be present in acute epididymitis (yes or no) a. irritative voiding sxs - yes b. irritative voiding sxs - no a. lower sperm count with increased number of abnormal forms โ ANS which of the following is a common finding in a man with varicocele? a. lower sperm count with increased number of abnormal forms b. increased rate of testicular cancer c. recurrent scrotal pain d. BPH a. milky penile discharge - yes - ANSindicate whether each finding normally would be present in gonorrheal urethritis in an otherwise well 28 y/o (yes or no) a. milky penile discharge - yes b. milky penile discharge - no a. penicillin - ANSfirst-line txment options for primary syphilis include: a. penicillin b. ciprofloxacin c. erythromycin d. ceftriaxone
a. penile discharge - yes - ANSindicate whether each finding would be present in acute epididymitis (yes or no) a. penile discharge - yes b. penile discharge - no a. prostate size does not correlate well with severity of sxs - ANSwhen assessing a 78 y/o man with suspected BPH, the NP considers that: a. prostate size does not correlate well with severity of sxs b. BPH affects less than 50% of men of this age c. he is at increased risk for prostate cancer d. limiting fluids is a helpful method of relieving severe sxs a. risk of transmission from an infected woman to a male sexual partner is about 20% to 30% with a single coital act - ANSin gonococcal infection, which of the following statements is true? a. risk of transmission from an infected woman to a male sexual partner is about 20% to 30% with a single coital act b. most men have symptomatic infection c. the incubation period is about 2-3 weeks d. the organism rarely produces beta-lactamase a. scrotal swelling - yes - ANSindicate whether each finding would be present in acute epididymitis (yes or no) a. scrotal swelling - yes b. scrotal swelling - no a. the presence of a + Prehn sign - ANSthe presentation of acute epididymitis in an otherwise well 22 y/o includes: a. the presence of a + Prehn sign b. low back pain c. absent cremasteric reflex d. diffuse abdominal pain a. urine culture - ANSthe best diagnostic text to identify the offending organism in acute bacterial prostatitis is: a. urine culture b. urethral culture c. antibody testing d. urine Gram stain a. verruciform - ANSwhich of the following best describes the lesions associated with condyloma acuminatum? a. verruciform b. plaquelike c. vesicular d. bullous approximately one hr before the anticipated sexual activity - ANSPDE-5 inhibitors (sildenafil, vardenafil, avanafil, and tadalafil) should be taken when? b. 1-4 weeks - ANSsxs of lymphogranuloma venereum typically occur how long after contact with an infected host? a. 5-7 days b. 1-4 weeks c. 4-6 weeks d. 2-3 months b. 15 - ANSapproximately what percentage of sexually active adults has serological evidence of human herpesvirus 2? a. 5 b. 15 c. 25 d. 40 b. 2 - ANSaccording to recent epidemioloic studies, prostate cancer is the number __ cause of cancer death in men residing within the US? a. 1 b.
in older men b. n. gonorrhoeae and c. trachomatis - ANSthe most common causative organisms of acute bacterial prostatitis in men <35 yrs are: a. e coli and k. penumoniae b. n. gonorrhoeae and c. trachomatis c. pseudomonas and acinetobacter species d. enterococci b. prostate size - ANSfinasteride (proscar, propecia) and dutasteride (avodart) are helpful in the txment of BPH because of their effect on: a. bladder contractility b. prostate size c. activity at select bladder receptor sites d. bladder pressure b. repeat screening in 1 yr - ANSa 54 y/o white man with no obvious risk for prostate cancer opted to undergo PSA screening and DRE testing. the DRE findings are normal and his PSA is 3.7 ng/mL. you recommend: a. repeating the PSA immediately b. repeat screening in 1 yr c. repeat screening in 2 yrs d. repeat screening in 5 yrs b. scrotal swelling - no - ANSindicate whether each finding normally would be present in gonorrheal urethritis in an otherwise well 28 y/o (yes or no) a. scrotal swelling - yes b. scrotal swelling - no b. tadafil (cialis) - ANSwhich of the following meds for ED txment has the longest half-life? a. sildenafil (viagra) b. tadafil (cialis) c. vardenafil (levitra) d. avanafil (stendra) b. the use of a validated pt sx tool is an important part of dx the condition - ANSconcerning BPH, which of the following statements is true? a. digital rectal exam is accurate in dxing the condition b. the use of a validated pt sx tool is an important part of dx the condition c. prostate size directly correlates with sxs and bladder emptying d. bladder distention is usually present in early disease b. ulcerative lesion - no - ANSindicate whether each finding would be present in acute epididymitis (yes or no) a. ulcerative lesion - yes b. ulcerative lesion - no b. WBC = 18,000/mm3, neutrophils= 11,500/mm3 - ANSa 30 y/o with prostatitis presents with a fever of 102.3F (39.1C). what would be the expected CBC findings from this pt? a. WBC = 15,000/mm3, neutrophils= 4,000/mm3 b. WBC = 18,000/mm3, neutrophils= 11,500/mm3 c. WBC = 7,200/mm3, neutrophils= 3,200/mm3 a. WBC = 4,000/mm3, neutrophils= 1,200/mm3 by enhancing the effects of nitric oxide, a chemical that relaxes the smooth muscles int he penis during sexual stimulation and allows increased blood flow - ANShow does PDE-5 inhibitors (sildenafil, vardenafil, avanafil, and tadalafil) work? c. 16 and 18 - ANSwhich HPV types are most likely to cause anorectal carcinoma? a. 1 and 3 b. 6 and 11 c. 16 and 18 d. 72 and 81 c. 2 to 4 weeks - ANShow long after contact does the onset of clinical manifestations of syphilis typically occur? a. less than 1 week b. 1 to 3 weeks c. 2 to 4 weeks d. 4 to 6 weeks c. 40, 10 - ANSthe average American man has an approximately ___% lifetime risk of prostate cancer and an approximately __% likelihood of clinical disease a. 15, 5
b. 25, 8 c. 40, 10 d. 60, 15 c. activity at select bladder receptor sites - ANStamsulosin (flomas) is helpful in the txment of BPH because of its effect on: a. bladder contractility b. prostate size c. activity at select bladder receptor sites d. bladder pressure c. azithromycin - ANSyou see a 42 y/o man with uncomplicated urogenital gonorrhea. his medical records indicate a severe allergic rx to penicillin that includes difficulty breathing and diffuse urticaria. you recommend txment with: a. cefixime b. levofloxacin c. azithromycin d. tigecycline c. blood- tinged penile discharge - ANSall of the following are typical findings for a pt with chancroid except: a. multiple lesions b. spontaneous rupture of affected nodes c. blood-tinged penile discharge d. dense, matted lymphadenopathy on the ipsilateral side of the legion c. C. trachomatis - ANSthe most likely causative pathogens in a 26 y/o with acute epididymitis include: a. escherichia coli b. enterobacteriaceae c. C. trachomatis d. pseudomonas species c. choosing an antibiotic with gram-negative coverage is critical - ANSwhen choosing an antimicrobial agent for the txment of chronic bacterial prostatitis, the NP considers that: a. gram positive organisms are the most likely cause of infection b. cephalosporins are the first- line choice of txment c. choosing an antibiotic with gram-negative coverage is critical d. length of antimicrobial txment is typically 5 days c. during the 2nd stage - ANSsyphilis is most contagious at which of the following times? a. before onset of s/s b. during the primary stage c. during the 2nd stage d. during the tertiary stage c. famciclovir - ANStxment options for HSV- 2 genital infection include: a. ribavirin b. indinavir c. famciclovir d. cyclosporine c. flulike sxs - ANSwhich of the following is NOT representative of the presentation of primary syphilis? a. a painless ulcer b. localized lymphadenopathy c. flulike sxs d. a spontaneously healing lesion c. gram-negative diplococci - ANSN. gonorrhoeae are best described as: a. gram- positive cocci b. gram-positive rods c. gram-negative diplococci d. gram-negative bacilli c. insertion of a nitroglycerin pellet in the urethra - ANSfor pts with ED who fail txment with a PDE-5 inhibitor, alternative approaches include all of the following EXCEPT: a. alprostadil injection into the penis b. mechanical vacuum devices c. insertion of a nitroglycerin pellet in the urethra d. implantation of a prosthetic device c. left testicle most often affected - ANSin assessing a man with testicular torsion, the NP is most likely to note: a. elevated PSA level b. white blood cells reported in urinalysis c. left testicle most often affected d. increased testicular blood flow by color-flow Doppler ultrasound c. levofloxacin - ANSappropriate txment of acute epididymitis for a 32 y/o who has sex with other men is: a. ceftriaxone b. azithromycin c.
d. amoxicillin - ANStxment options for chancroid include all of the following EXCEPT: a. azithromycin b. ciprofloxacin c. ceftriaxone d. amoxicillin d. boggy gland - ANSwhich of the following is INCONSISTENT with the description of benign prostatic hyperplasia (BPH)? a. obliteraed mediam sulcus b. size loarger than 2.5cm x 3cm c. sensation of incomplete emptying d. boggy gland d. ciprofloxacin - ANSappropriate antimicrobial txment for a 65 y/o with acute bacterial prostatitis is: a. erythromycin b. cefepime c. TMP-SMX d. ciprofloxacin d. gumma - ANSwhich of the following is found in tertiary syphilis? a. arthralgia b. lymphadenopathy c. maculopapular lesions involving the palms and soles d. gumma d. haemophilus ducreyi - ANSthe causative organism of chancroid is: a. ureaplasma species b. chlamydia trachomatic c. mycoplasma hominis d. haemophilus ducreyi d. nitrates - ANSwhen taking a PDE-5 inhibitor, concomitant use of which med must be avoided? a. statins b. sulfonylurea c. aCE inhibitors d. nitrates d. none of the above - ANSa 23 y/o has a nontender "bag of worms" mass within the left scrotum that disappears when he is in the supine position. he is dx with a varicocele. what is a risk factor that may have contributed to this condition? a. younger age b. current cigarette smoker c. multiple sexual partners d. none of the above d. posterior lobe - ANSwhich part of the prostate is readily palpable during a DRE? a. anterior lobe b. median lobe c. lateral lobes d. posterior lobe d. postrenal azotemia - ANSa 78 y/o man presents with a 3 day hx of new-onset fatigue and difficulty with bladder emptying. exam reveals a distended bladder but is otherwise unremarkab.e. BUN level is 88mg/dL; creatinine level is 2/8 mg/dL. the most likely dx is: a. prerenal azotemia b. acute glomerulonephritis c. tubular necrosis d. postrenal azotemia d. prostatectomy - ANSall of the following can cause an elevated PSA level except: a. prostate infection b. cystoscopy c. BPH d. prostatectomy d. pustular lestions - ANSall of the following are likely reported in a man with an initial episode of genital HSV-2 infection except: a. painful ulcer b. inguinal lymphadenopathy c. fever and body aches d. pustular lestions d. relief of pain with scrotal elevation - ANSa 24 y/o presents with sudden onset of left-sided scrotal pain. he reports having intermittent unilateral testicular pain int he past but not as severe this current episode. confirmation of testicular torsion would include all of the following findings EXCEPT: a. unilateral loss of the cremasteric reflex b. the affected testicle held higher in the scrotum c. testicular swelling d. relief of pain with scrotal elevation d. testosterone deficiency - ANSwhich of the following is not a common risk factor for erectile dysfunction? a. diabetes mellitus b. hypertension c. cigarette smoking d.
testosterone deficiency d. these tx are safest and most effective when used with RX meds - ANSconcerning herbal and nutritional txment for BPH tx, which of the following statements is FALSE? a. the mechanism of action of the most effective and best studied products is similar to prescription meds for this condition b. these tx are currently considered emerging tx by the American Urological Association c. major areas of concern with use of these tx include issues of product purity and quality control d. these tx are safest and most effective when used with RX meds
